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4111.
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1( "
Permit Fee:
Date Received: ) I " n-1-1_
Staff:
012-
Staff: RE/
2012 COMMERCIAL BUILDING PERMIT APPLICATION
(Jesco r -e
Lj_CDate:
1/—) ,—I - Site Address:
Tenant Name: C C c n L L
(Tenant is: New /
Former Tenant:
Existing) Suite #:
PROPERTY OWNER
Name: EccyaY1 62 -At _c Lt,C Phone: &O- — 96 /--Sf 9?
Address / City / Zip: 5 -(( 'j 6(( 4i6 s (,f_k_tj-1- 1-
Applicant is: Owner Contractor
TYPE OF WORK
Description of work:-Lnferiov- > Gib .
Construction Cost: $ 341/ aq
CONTRACTOR
Name: FI'e -i k License #:
Address: 3(C,60 6rt
State: AA nf Zip: M/0
01.
City: P vac,(
Phone: I/ S-1---7 %
Contact: (3VCi1"1"--- V C't"73 Email:
yt�v a e.v clscensikuch - cc vt
ARCHITECT/
ENGINEER
Name:1;51i /1/64, cyyptattj' Registration #:
Address: (9 qc—
State: 44 /V Zip:
Contact Person:
ld-cf ' ?4t/4 ,Sc f- City: Al inane f + /J
47c--1-0-3 Phone: (0l2--15 (0(—g(o3(P
�f' ��i'✓�C' v\ Email: citYvt ate+ (C 11r :ipC" - coif -
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting, documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x vv ICt/LAC.)1 x
Applicant's Signature
Applicant's Printed Name
Page 1 of 3
q3-] Gizst+
DO NOT WRITE BELOW THIS LINE
/c f5—I
SUB TYPES
Foundation Public Facility
/Commercial / Industrial Accessory Building
Apartments Greenhouse / Tent
Miscellaneous Antennae
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% 100% vl
Census Code
# of Units
# of Buildings
Type of Construction
_Interior Improvement
Exterior Improvement
Repair
Water Damage
11°16400
V•13
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking Insulation Ice & Water Final
Framing
Fireplace: Rough In Air Test Final
—V Insulation
Meter Size:
Exterior Alteration—Apartments
Exterior Alteration—Commercial
Exterior Alteration—Public Facility
Siding Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Fire Repair Retaining Wall
*Demolition of entire building — give PCA handout to applicant
7 •2-
2&'7 MG
(:•3
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
✓ Sheetrock
✓ Final / C.O. Required
Final / No C.O. Required
0. A/g, «rtb4E. ,ZJ t)56
✓ Other: f/F 57'?PP/N6*
Pool: _Footings Air/Gas Tests Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Final CIO Inspection:
Schedule Fire Marshal to be present: Yes
Reviewed By: cF-f'-< </ , Building Inspector
Reviewed By: , Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
57'7.25
00
573.ZL
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL fii7 . r
Page 2 of 3
411°
City of Basan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use /
Permit #: /`3 aG
1*
Permit Fee: L
Date Received: I. 1 -
Staff:
2012 COMMERCIAL BUILDING PERMIT APPLICATION
Date: / r. :4(0-. - Site Address: 31410/(ji 6/61. / g37� (-A--)Qs -
Tenant Name: t"—Ctyl,o etf.1462 c �� C (Tenant is: New / Existing) Suite #:
Former Tenant:
PROPERTY OWNER
Name: 1 ,C( jai'1 7Cila(�s LLC Phone: &..0- /-5-69?
9?
Address / City / Zip: 5i- -36c( 4yO/S
Applicant is:
Owner Contractor
Description of work: / -' 4 yb r Re- b .
Construction Cost: Poop 2'7, 0
Name: Feel -i-611.5 COh. C` License #:
Addressn:�, ( 7D LA 6-a � .
/v y
State: Zip: Mi0
Contact: 1/LlL,Yv ct Email:
City: `> 7 %
Phone:
OtAi+Va- d,s co)-2s.--h-ad Cavi
Name:1;3114/, /, t yt t 4,714t2 Registration #:
Address: --7(S IC Aiie_ fc 11& City: J4/rti, fk /tfr
State: 44 %V Zip:
Contact Person: I Jt
4Q-1 - Phone: 6)/2- 4)1 to 3(e
Rf.11i- t' Email: qvt i4-141(Cell-tec C6324 -
Licensed plumber installing new sewer/water service:
Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
vo
Applicant's Printed Name Applicant's Signature
Page 1 of 3
1 - trl37
DO NOT WRITE BELOW THIS EINE
SUB TYPES
Foundation
Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% 100% " )
Census Code
# of Units
# of Buildings
Type of Construction
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
✓Exterior Improvement
Repair
Water Damage
2 000 °"-'
4
11- /5
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
✓ Roof: _✓Decking Insulation
. Framing
Fireplace: Rough In Air Test _Final
Insulation
Meter Size:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Ice & Water "inal
Exterior Alteration–Apartments
Exterior Alteration–Commercial
Exterior Alteration–Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
*Demolition of entire building — give PCA handout to applicant
12/7--
24,e7
l Z2 ,er7 Msec
MCES SystemA
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
Other:
Pool: Footings _Air/Gas Tests Final
—7 Siding: Stucco Lath /Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Final CIO Inspection: Schedule Fire Marshal to be present: Yes ✓ No
Reviewed By: CM6 , Building Inspector
Reviewed By: , Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
354.00
1 b.CO
230 •i0
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL 5°14. to
Page 2 of 3
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 5/1/2013
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 b
Litta
Permit Fee:
G6'7
Date Received: c•I (U 113
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: 937 Wescott Square
J
Tenant: Eagan Gables Suite #:
Name: Eagan Gables, LLC
Phone: 612-961-5039
Address / City / Zip: 4015 West 65th Street, Ste 309, Edina MN 55435
Name: Erickson PHC
License #:
PC643399
Address: 1471 92nd Lane NE City: Blaine
State: MN Zip: 55449
Contact: Jennifer
Phone:
Email:
763-783-4545
jcarlson@ihearterickson.com
New x Replacement _ Repair Rebuild _ Modify Space Work in R.O.W.
Description of work: Water Heater, Toilet, Lav, Kitchen sink, Dishwasher and Disposal
RESIDENTIAL
x Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ 65.00
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without ape1mtit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app • _ • plans.
Jennifer Carlson
Applicant's Printed Name
FOl
Re
OFFICE USE
aired Inspection
nder mound _Rough -In
City of aail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use
Permit#: t \ v453
°J
Permit Fee: o -
Date Received: 5( ) 01 13
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 5/1/2013 Site Address: 937 Wescott Square
Tenant: Eagan Gables
Suite #:
Name: Eagan Gables, LLC Phone: 612-961-5039
Address / City / Zip: 4015 West 65th Street Ste 309, Edina MN 55435
Name: Erickson PHC
Address: 1471 92nd Lane NE
License#: MB005261
City: Blaine
State: MN Zip: 555449 Phone: 763-783-4545
Contact: Jennifer
Email: jcarlson@ihearterickson.com
New x Replacement Additional Alteration Demolition
Description of work: Replace furnace, replace AC and dryer vent
NOTE . Ro
punted and gro ou nt echani pment is r t i red to be sc
ntac & + �icat.[nspector r anon"on permitted sclreeni methods
RESIDENTIAL
x Fumace
x Air Conditioner
Air Exchanger
Heat Pump
x Other dryer vent
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 60.00 TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal
$55.00 Minimum
*If the project valuation is over $1 million, please call for Surcharge
Contract Value $
= $ Permit Fee
= $ 5.00 Surcharge*
= $ TOTAL FEE
x1%
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before
you intend to dig to receive locates of underground utilities. www.gonherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x Jennifer Carlson
Applicant's Printed Name
OR OFFICE USE
'twined •Inspections:!
Underground
Signatur
Gas Service Tes
Hei
Ening
s _' Use B4UE or BLACK Inl
r---'----`------- --�
t; For OtHce Use . �
I �
.
� Permit#: � �� ;
Cit of �aoa� � f /� �; �
� �a 1 Permif Fee: [ , C0� I
3830 Pilot Knob Road I : I
Eagan MN 55122 � oate Rece�ved: I
Phone: (651)675-5675 � i
Fa�c• 651 675-58�4 � staff: - �I
� � �--- — -----
2014 RESIDENTIAL PLUAA$ING PERMiT APPLICATION
Date:� � Site Address: � VVeS �
Tenant: Suite#r
' Name: �Q.�r� G�f�.a �, Phone:
F�esident�Owner
Address/City/Zip: �o s�Oa P .
� a ,,r�► 6�' ,t�
Name:��.��,,,�,d,mc,�. t��mbiwc. �'n.c.. �icense#: .pC Gt45Y75'
Contractor Addr'ess'�b� �[�G�gen � �"T City: �'�d�.. �{17elL
State: �N Zip: `�S�j�0 Phone: ��d�'� c��� �? g�_,
Contacr !� 'T6t��"� EmaiL• c�G Rp�—Q�wn+�oi . CpM . .
Ty�@;O'f WO!"�C ��ew _Replacement i Repair �Rebuild ,�Modify Space _Work in R.O.W.
Descrlption of work:
' RESIDENTI,m►L '
Water Heater
� Lawn Irrigatfon�RPZ i PVB) �ater Softener . �
` Permit Type � ., �
Septic System Add Plumbing Fixtures(_Main/_Lower Level)
New Water Tumaround
Abandonment
RE8IDENTIAL FEES:
$6Q.00 Water Heater,Water Softener, or Water Hea#er�n Softener(indudes$5.00 8tate Surch , e) � /' (`� °�
$60.00 Lawn lrrigation(includes$5.00 minimum State Surcharge) �� �
$60.00 Add Plumbin Fixtures, -�
g Septic System Abandonment,Water Turnaround'(inciudes$5.
�'Water Tumaraund(add,�200.00 if a 5/8"meter is required)
$115.00$eptiC Systerrt New.($10.00 peras buiit)(indudes County fee and$5.00 State Surcharge)
' TOTAL FEES'� CQ S�"
CALL BEFORE YOU DIG. Call Gophsr State One Call at(651)454-0002 for protection agairtst underground uality damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goohers teonecall.ora
t hereby acknowledge th�t this frrFormation is complete ahd accurate;that the work vuiil be in r.onfortnanae with the orclinanc�s and cod�of tt►e Ciry of
Eagan; that i understand tF�s is not a perrnit, but only an spplication for�permit,and vwork ts not to scart wtthouc e per►nit;that the anork wNl be in
accordance with the approved plarr in the case of wrork whic�r�equires a review and approvaE af plans.
X ��� . .�� . . ' _ x
Applicant's Pri�tited Name : - ', . App can�s Signature ':.
fOR O�FtCE USE R��iew�€d By:' xt
� � _,�- .;: t � �
�?
� .;;
_ � .w � ,.,, . � �
Required Inspe�tionsy Under�round Rough-ln �1ir Test �,,,�as 7e�t ��F�a�l, .
r �
Mete�Rel�ted`ltems: ' MBter Siz��`�"; Radio R�ad,,�„�.Staff: _ _ ` .�
,
.
Use BLUE or BLACK Ink
r--�------------.__^
I For Office Use �
• � Permit#: ���� I
Clty of ���a� � � ;
� Permit Fee:
3830 Pilot Knob Road I �
Eagan MN 55122 I I
Phone: (651)675-5675 I Date Received: �
I
Fax: (651)675-5694 � I
� Staff: �
�-----------------�
2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Address: � we S���` �t� .,�._, F(,1R(?FFICE US� C?NLY
F�V r�qu�r�d-
Property Owner:
��;City<1�-L3-W�Permit
Phone: Contact Name:
Gaunty R=�=Vtif Permit'
Plumber:
'; � Plumb'rr�g Fermit
SEiIVER : 1lItATER
ewer Service Water Service �
Sew teral charge Water lateral charge N�
Sewer trunk"��-�,,,� Water trunk �}�
City SAC @$100/un"7t Water Sampling Fee ���� ��,j C�
MCES SAC ae$2,485/unit Water supply storage �_
Receipt#: '' Date: Receipt#: , Date:
Permit Fee ,/ $60.00 Treatment Plant @$828/unit �'L?� . �^o
State Surcharge �� $5. Permit Fee �$�u,ld-u
� TOTAL: State Surcharge . 'OQ
*P/umbing Permit Required-water meter to be
acquired with building permit TOTAL: .�
S�WEi�+&WATER
Sewer Service
� Water Service
,� � Sewer lateral charge
'"��..� Water lateral charge � I( „ ��,�
��`--•., Sewer trunk �X �
'``��,..,,w Water trunk �.--"`"�� D�,,� �1'`�,,,�, �"' I',
�'nV�ter Sampling Fee +�,,..--'"� � I
City S�C.�. ,.-'`"� � l2'�(� I
MCES SAC�'�`��. �'° I
Rece.ip#`#�� ~``"�••�, , Date
Wa��r supply&storage `"'�--..._,�
,.-�"���� Receipt# , Date �'`"�-.�
���"f� Treatment plant
� �r Permit Fee $120:00
State Surcharge $5.00
"Plumbing Permit Required-water meter to be
acquired with building permit TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
Cc: Gity of Eagan Finance Department